an increasing number of girls who are overweight or obese are referred for concerns regarding early puberty on the basis of what appears to be breast tissue when the child is examined in the sitting position
however, when examined supine, the breasts are much less prominent, and careful palpation under the areolae fails to disclose firm glandular tissue
also, the nipples and areola will show no estrogenic stimulation
observation over a period of 4 to 6 months is, in most cases, reassuring
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